Region : Region III
Division : Pampanga
School ID:
306949
Name of Office / School : San Jose Gumi IS
To be Encoded
Manually
Total no. of Authorized Positions (per
PSI-POP):
Total no. of Filled-up Plantilla Positions:
Total no. of Personnel Re-assigned to:
Total no. of Personnel reassigned from:
Total no. of contractual employees:
Total no. of casual employees:
Total no. of locally funded employees:
Summary from
I.Personal
8
8
0
0
UNIQUE ITEM NUMBER
POSITION TITLE PER
PLANTILLA
PARENTHETICAL TITLE
SALARY
GRADE
NAME OF PERSONNEL
SALARY STEP
LAST NAME
Baccay
Banal
Bredonia
Cruz
Cruz
Garcia
Morales
Reyes
FIRST NAME
Kaycee
Juviline
Milcah
Joyce
Wilson
Larry
Stephanie
Katheryn
ME OF PERSONNEL
SEX
MIDDLE NAME
Dabu
Bustos
Fronda
Danan
Mendoza
Bernardo
Evangelista
Ocampo
NAME EXTENSION
FEMALE
DATE OF BIRTH
(MM-DD-YYYY)
TIN
DATE OF ORIGINAL
APPOINTMENT (AS
NATIONAL) (MM-DDYYYY)
DATE OF LAST
PROMOTION /
APPOINTMENT (MMDD-YYYY)
EMPLOYMENT
STATUS
FUNDING
PLACE OF BIRTH
(TOWN, PROVINCE OR
CITY)
CIVIL STATUS
Height (m)
Weight (kg) Blood Type
GSIS BP No.
PAG-IBIG
PHILHEALTH No.
No. (Inc but
(Inc but not
not
required)
required)
SSS No.
Address (House No, Street Name,
Village/Subd)
Residential Address (Inc but not required)
Region
Province / District / City
City/ Municipality
uired)
Barangay
Telephone No.
Permanent Address (Required)
Address (House No, Street Name,
Village/Subd)
Region
Province / District / City
anent Address (Required)
City / Municipality
Barangay
Telephone No.
Reassigned From
Email Address
(preferably
@deped.gov.ph)
Cellphone No. (if any)
Reassigned From:
Region/ Division/
District
Reassigned From
Reassigned From: School ID
Languages/Dialect
Spoken
NAME
(LAST NAME, FIRST NAME MIDDLE NAME NAME EXTENSION)
RELATIONSHIP
LAST NAME
FIRST NAME
MIDDLE NAME
FOR CHILD ONLY
FOR SPOUSE ONLY
DATE OF BIRTH (MM-DD-YYYY) OCCUPATION EMPLOYER/BUS. NAME
OR SPOUSE ONLY
BUSINESS ADDRESS TELEPHONE NO.
NAME
(LAST NAME, FIRST NAME MIDDLE NAME NAME EXTENSION)
LAST NAME 1, FIRST NAME 1 MIDDLE NAME 1
EDUCATIONAL BACKGROUND
INCLUSIVE YEAR
LEVEL
ELEMENTARY
Name of School
From
INCLUSIVE YEAR
To
Year Graduated
Highest Grade/Level/Units
Earned (if not graduated)
Course
Major
Minor
Honors
Received
NAME
(LAST NAME, FIRST NAME MIDDLE NAME NAME EXTENSION)
LAST NAME 1, FIRST NAME 1 MIDDLE NAME 1
ELIGIBILITY
RATING
DATE OF EXAM/
CONFERMENT (MMDD-YYYY)
PLACE OF EXAM /
CONFERMENT
LICENSE
NUMBER
ISSUE DATE (MMDD-YYYY)
NAME
(LAST NAME, FIRST NAME MIDDLE NAME NAME EXTENSION)
LAST NAME 1, FIRST NAME 1 MIDDLE NAME 1 NAME EXTENSION 1
WORK EXPERIENCES
INCLUSIVE DATE (MM-DD-YYYY)
FROM
TO
POSITION TITLE
ORK EXPERIENCES
DEPARTMENT / AGENCY / OFFICE
MONTHLY
SALARY
SALARY
RANGE/GRADE
STEP
INCREMENT
STATUS OF
APPOINTMENT
Enter trainings within the last five years starting with the most recent
NAME
(LAST NAME, FIRST NAME MIDDLE NAME NAME EXTENSION)
e most recent
TITLE OF SEMINAR
AREA OF TRAINING
INCLUSIVE DATES (MM-DD-YYYY)
FROM
TO
NO. OF HOURS
CONDUCTED BY
PLACE OF TRAINING
